Individual
CAMERON MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 N COLLEGE AVE STE 5, FAYETTEVILLE, AR 72701-5343
(479) 396-8806
Mailing address
130 N COLLEGE AVE STE 5, FAYETTEVILLE, AR 72701-5343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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